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Anyone experience multiple CMV resurgences post kidney transplant?
Transplants | Last Active: Dec 29, 2022 | Replies (107)Comment receiving replies
Hi @hello1234, you're taking both Tacrolimus and Envarsus XR? Usually it's one or the other. You're off of Myfortic completely?
The target range for Tac is 5-7 and Everolimus 3-5, with a combined goal of 10-12. Hubby's Tac level is off too since taking Everolimus. They are in process of adjusting his meds, I'm hoping this will not take too long before it reaches therapeutic level. He takes his morning pills right before breakfast but provider says Tac level is affected by diet from previous night. So not uncommon to see it jump from 5 - 7 or vice versa. Currently his Tac level is really low so I'm thinking Everolimus may have affect on Tac trough level.
Replies to "Hi @hello1234, you're taking both Tacrolimus and Envarsus XR? Usually it's one or the other. You're..."
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Hi @caretakermom 😊
I am taking Cellcept and Envarsus XR (Tacrolimis). Your husband is taking just Tacrolimis and Everolimus and no Myfortic, right? Is that the only two immune suppression meds he currently is taking? Since they are monitoring hubby every week, I am sure they will get go the therapeutic levels of both meds pretty quickly. It's great that they have a blood test for Everolimus levels too. I have never seen a blood test for Myfortic or Cellcept.
Do you happen to know what about the meal the previous night affects the Tacrolimis level? @estrada53 mentioned that too. Is it the quantity of food we eat for dinner or specific foods that lessen the Tac level? I assumed it was the quantity of food I ate with the pills in the morning, not the food at dinner but this is the second time I have heard that it's the dinner eaten the night before the labs that may affect the morning labs. Thanks for the great discussion!